Claims Analyst III

Job Title: Claims Analyst III

Duration: 3 Months

Location: Doral, Florida

Responsibilities:

This department handles claim provider complaints.

Review of claims that have already been processed by the system.

The suppliers are complaining about issues with the previously processed claims.

Will be identifying root causes, necessary correction of root causes and provide feedback to providers.

Will be utilizing Microsoft Excel heavily.

*A minimum of 1-2 years’ experience in claims processing with professionals or hospitals*

Top 3 skills:

Computer skills - Microsoft Excel (intermediate to advanced skills, i.e.: pivot tables, v-look ups)

Attention to detail

Strong written communication skills

Must Haves:

Claims background

Knowledge of billing guidelines

Knowledge of contract interpretation

Knowledge of billing/coding - CPT & ICD-10

Kind Regards,

Arnab Ghatak

Technical Recruiter

Integrated Resources, Inc.

IT Life Sciences Allied Healthcare CRO

Certified MBE |GSA - Schedule 66 I GSA - Schedule 621I

Gold Seal JCAHO Certified ™ for Health Care Staffing

“INC 5000’s FASTEST GROWING, PRIVATELY HELD COMPANIES” (8th Year in a Row)